MATTHEW VARACALLO (NPI# 1629415682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629415682 |
| Entity Type | Individual |
| Full Name | MATTHEW VARACALLO |
| Credential | MD |
| Practice Address |
145 Hospital Ave Ste 312 Du Bois PA 15801 |
| Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8142997432 |
| Practice Fax Number | 8142997434 |
| Mailing Telephone | 8143712200 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2019-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 207X00000X | PA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
51607 | KY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| University of Kentucky 800 Rose Street, Lexington, KY 40536 | 8593232636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669702692 | Matthew Varacallo | Pharmacist | 1825 E Warner Rd, Tempe, AZ 85284-3403 | 2010-01-14 |
| Street Address |
145 HOSPITAL AVE STE 312 |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306823042 | Michael Anthony Freiman | Otolaryngology | 145 Hospital Ave Ste 312, Du Bois, PA 15801-1465 | 2005-12-23 |
| 1548689730 | Ryan Gerritsen | Otolaryngology | 145 Hospital Ave Ste 312, Du Bois, PA 15801-1465 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323517 | Einstein Practice Plan Inc | Orthopaedic Surgery | 5501 Old York Rd Bldg Fl4, Philadelphia, PA 19141-3018 | 2019-12-11 |
| 1700381076 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 48 Tunnel Rd Ste 203, Pottsville, PA 17901-3885 | 2018-03-28 |
| 1376058735 | Sports Medicine & Joint Replacement Specialists Corporation | Orthopaedic Surgery | 542 Rugh St Ste 2000, Greensburg, PA 15601-5623 | 2017-12-07 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 1992125413 | Arjun Ramprasad | Orthopaedic Surgery | 380 Oxford Valley Rd Fl 1, Langhorne, PA 19047-8304 | 2014-04-23 |
| 1396171377 | Upmc Community Medicine Inc | Orthopaedic Surgery | 510 S Aiken Ave, Suite Eg-01, Pittsburgh, PA 15232-1505 | 2013-09-23 |
| 1871932467 | Justin W Arner | Orthopaedic Surgery | 200 Delafield Rd Ste 410, Pittsburgh, PA 15215-3205 | 2013-06-18 |
| 1548580483 | Reflex Orthopedics and Sports Medicine, PC | Orthopaedic Surgery | 463 Brush Run Road, Suite 200, Greensburg, PA 15601 | 2010-06-02 |
| 1427211069 | Scott Kevin Schweizer | Orthopaedic Surgery | 160 Gallery Dr Ste 144, Canonsburg, PA 15317-2690 | 2008-07-03 |
| 1235356379 | Robert August Gallo | Orthopaedic Surgery | 30 Hope Dr Bldg A, Bone and Joint Institute, Ec089, Hershey, PA 17033-2036 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.